| NPI | 1023299096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRAM A HENDIZADEH Partner 631-427-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N005950-1) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2008-05-29 |