| NPI | 1497190730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL LAVIAN President 646-263-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 006389) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2014-07-29 |