| NPI | 1457683104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNI PERSICH General Partner 718-728-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 004789) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |