| NPI | 1124102520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWA D'SILVA President 718-934-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-10-04 |