| NPI | 1023406196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GENKIN President 718-218-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00321600) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2014-12-24 |