| NPI | 1366973232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEROY ROBERTSON President 212-369-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006682) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |