| NPI | 1316115561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT T UDELL Dr. 516-935-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NY 002768) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-08-06 |