| NPI | 1174194534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHROOZ MANDANIPOUR President 718-926-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |