| NPI | 1316315377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA DAVYDOVA Podiatrist 718-896-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N006578) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-09-18 |