| NPI | 1235313669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PAUL SUMBER Owner 845-331-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N004351-1) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |