| NPI | 1215149067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEVIN Office Manager 845-986-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N004228-1) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N005818-2) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2021-03-01 |