| NPI | 1184811192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT L BASS Pres. 718-743-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-07-02 |