| NPI | 1154691632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN GOODMAN Podiatrist 718-376-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N003926) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-02-02 |