| NPI | 1184810814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M COLE Office Manager/Biller 518-869-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N002903) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |