| NPI | 1023721719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA LAZOVIK Owner 201-943-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |