| NPI | 1366731903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S PINNOCK Owner 718-291-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N004829) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2016-03-16 |