NPI | 1386286532 |
---|---|
Doing Business As | N/A |
Entity Type | Organization |
Authorized Contact | TANYA POWERMAN Owner 718-615-0062 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2019-10-09 |
Last Update Date | 2019-10-09 |