NPI | 1306480801 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA WILLIAMS Practice Manager 518-439-0423 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-10-31 |