| NPI | 1376845669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD THORGEIR PETERSON Owner 516-496-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N004585) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2024-09-01 |