| NPI | 1376715607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENID GORIS Podiatrist/Owner 718-863-7832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N005792) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |