| NPI | 1467768838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN TAJERSTEIN Sole Proprietor 718-972-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NY N004639) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2011-03-10 |