| NPI | 1427272772 |
|---|---|
| Doing Business As | GRIGORIY PATISH |
| Entity Type | Organization |
| Authorized Contact | GRIGORIY PATISH President 718-259-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 005980) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |