| NPI | 1366133878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CANDARA Owner 518-459-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2025-03-27 |