| NPI | 1386835759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BLISS Office Manager 718-375-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N005189) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2008-07-17 |