| NPI | 1205380482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MATTHEWS Podiatrist 917-923-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2186) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2023-07-10 |