| NPI | 1407703580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MANGIONE Office Manager 585-225-9452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-04-09 |