| NPI | 1376733592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HYNES Collections 718-388-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-11-20 |