| NPI | 1447427992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COSTANTINO Chief Executive Officer 718-748-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N004375) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-07-01 |