| NPI | 1053714584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP R RAI Owner 646-713-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2024-01-24 |