| 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 |