| NPI | 1164780466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKCHAND THAKURDIAL Doctor 718-554-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY N005476-1) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2022-07-21 |