| NPI | 1174230221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET STREET VP Network Operations 646-354-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |