| NPI | 1245304054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KESLER Director 917-686-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00286800) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006093) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-02-13 |