| NPI | 1467634253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA UVATOV Podiatrist 718-869-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006193) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2017-01-10 |