| NPI | 1205968799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ELLIOTT HUPART Dpm/President 718-241-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N004686) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N002003-1) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2010-07-19 |