| NPI | 1427278449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GUTIERREZ President 718-320-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NY N00474) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |