| NPI | 1003244138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT G. MAKABALI President 516-569-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 115251) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006327) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |