| NPI | 1134331788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BRETT COHEN General Partner 718-617-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY NY5736) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 5319770001) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-03-25 |