| NPI | 1477071710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WALKER Practice Administrator 845-339-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |