| NPI | 1134590169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CAMPBELL Owner 917-690-2605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000934) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-11-20 |