| NPI | 1427304971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILVIRA ISYANOVA Director 917-620-9187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 006443) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |