| NPI | 1144641101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHARLES SNYDER Owner 216-225-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY NY006497) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2022-07-21 |