| NPI | 1265824478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WALKER Practice Administrator 845-339-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-09-15 |