| NPI | 1144434879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON JAY BERG Owner 718-224-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N002482) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-08-01 |