| NPI | 1467739755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ISRAEL GOLDMAN Owner 212-679-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 005362) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-12-12 |