| NPI | 1003160292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME E BAGNER President 516-764-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N002233-1) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |