| NPI | 1407390974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PREZIOSO CEO 216-577-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003502) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2016-12-18 |