| NPI | 1053414300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GREGG MARCESE Owner 718-996-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004476) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2008-07-26 |