NPI | 1003008343 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILYN M. VINOKUR Podiatrist 203-755-2050 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CT 00214) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-08-10 |
Last Update Date | 2012-09-06 |