| NPI | 1396227617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M NAYEEM Dpm 516-476-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: NY 005189) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-11-30 |