| NPI | 1487196622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADDIPOTI CHOUDRY President 845-592-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 211D00000X Assistant, Podiatric |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |