| NPI | 1255754917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SAMANDAROV Podiatrist 718-545-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 006526) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2021-03-03 |