| NPI | 1134532211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIQUETTA L TRIMBLE Podiatrist 212-726-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006561) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |