| NPI | 1386191203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIYA GUMENIK President 718-806-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006563) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2020-10-20 |