| NPI | 1356392500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN TAJERSTEIN Member/President 917-370-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: FL HCC6902) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-01-10 |