| NPI | 1003937913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DEFAZIO MATHEWS President 718-205-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NY 004379) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-11-30 |