NPI | 1497859664 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD LEONARD DAMICO Podiatrist President 631-691-6060 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N003837) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2014-04-25 |