| NPI | 1366133878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CANDARA Owner 718-362-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |