| NPI | 1457734386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE L EDELMAN Owner 315-458-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N002777-1) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |