| NPI | 1043498769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GVENTER President 718-265-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N002605) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2011-01-24 |