| NPI | 1104381714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NGUYEN Doctor Of Podiatric Medicine 917-365-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center Podiatric |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-06-10 |