| NPI | 1063879344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADI ALAM Owner 917-412-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 006644) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |