NPI | 1447528740 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE M VINOKUR Podiatrist 203-888-6668 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000214) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 000214) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |