| NPI | 1275291890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ROSE COSENTINO CEO/Employee 785-775-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-04-26 |