| NPI | 1154145654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LEONARDA CIACCIO Chief Operating Officer 516-993-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |