| NPI | 1164874459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MCLAUGHLIN Partner 631-422-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-10-07 |