NPI | 1013063080 |
---|---|
Doing Business As | ADVANCED FOOT CARE |
Entity Type | Organization |
Authorized Contact | CRAIG PRESTON HERMAN Owner 718-409-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N005627) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N005627) |
213ES0131X Podiatrist, Foot Surgery (Licence: NY N005627) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2010-05-24 |