| NPI | 1063715142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY AMANTE Medical Director 718-975-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N0055411) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2023-10-05 |