NPI | 1235294414 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY HERSTIK Podiatrist 201-816-8778 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NJ MD2186) |
Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: NY N004973) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-11-14 |