| NPI | 1174846406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN DAVID ROSENBLUM Podiatrist 718-792-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY N005978) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |