| NPI | 1497926869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE PUPILLA Owner 718-631-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N004824-1) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |