| NPI | 1477829984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEJOKE BABALOLA Owner 718-470-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY 006283) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |