| NPI | 1407067523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK BAYERBACH Poditary 718-364-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N003928) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004204) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |