| NPI | 1093092603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GRIPPO Owner 845-561-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-01-18 |