| NPI | 1295920908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY A BIER Owner 203-975-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 00693) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-06-18 |