| 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 | 213ES0131X Podiatrist Foot Surgery (Licence: NY N003656) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2012-02-10 |