| NPI | 1508304098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHAROBEEM Dpm 917-692-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NJ 25md00328400) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |