| NPI | 1457629446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN HORL Office Manager 516-766-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NY N0044861) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2023-10-13 |