| NPI | 1154571578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID EINHORN Partner 718-278-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: NY N004460) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N004460) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N004460) | |
| 213ER0200X Podiatrist, Radiology (Licence: NY N004460) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY N004460) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2009-05-27 |