| NPI | 1063696987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTO VINCETIC Physician 718-409-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004819) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2009-06-19 |