NPI | 1265670640 |
---|---|
Doing Business As | GRAND CENTRAL PODIATRY |
Entity Type | Organization |
Authorized Contact | ROGER A. HANS President 718-545-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004560) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2010-01-04 |