| NPI | 1427297340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA VALDBERG Owner 718-838-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY 006233) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 006233) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2013-07-08 |