| NPI | 1326446055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA BASKHRON President 201-658-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: NY N006593-1) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |