NPI | 1437393048 |
---|---|
Entity Type | Organization |
Authorized Contact | OSCAR ETUK Dpm/Owner 718-787-9288 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NY 006000) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 006000) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2009-04-27 |