| NPI | 1093828303 |
|---|---|
| Other Name | BOTSFORD PODIATRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | NANCY SUSICK Chief Operating Officer 947-522-3338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-05-16 |