| NPI | 1083894265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNI PERSICH President 718-261-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 004789) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |