| NPI | 1467635516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEMAAN J GHUMAN President/Owner 718-849-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N006146) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 213ES0131X (Licence: NY N003656) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2012-02-10 |