| NPI | 1457799090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIMINA BALASKONIS Podiatrist 267-254-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 006431) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |