| NPI | 1205876018 |
|---|---|
| Doing Business As | SI PODIATRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD ROUDER President 718-556-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N005371) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-07-28 |