| NPI | 1285887422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE MICHAEL DESANTO Podiatrist 718-745-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006056) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |