| NPI | 1235433327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN TAJERSTEIN Sole Proprietor 718-972-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25md00244000) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-03-12 |