NPI | 1487198511 |
---|---|
Doing Business As | WESTSIDE PODIATRY GROUP |
Entity Type | Organization |
Authorized Contact | DANIEL ERIC TELLEM Partner 585-225-9452 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X |
Enumeration Date | 2016-12-08 |
Last Update Date | 2025-10-16 |