| NPI | 1245436617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS HARTMAN Owner 516-822-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 5926) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 5946390001) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2012-12-06 |