| NPI | 1073848743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY K. BAPTISTE Podiatrist 631-271-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 60006253) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2014-09-11 |