| NPI | 1477709020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CAVALLARO Office Manager 516-496-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N003180) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-10-29 |