| NPI | 1356618649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GRIPPO Owner 845-838-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2012-04-09 |