| NPI | 1518008986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA BLAKEMAN President 718-259-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004872) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |