NPI | 1518111459 |
---|---|
Doing Business As | SUNNYSIDE FAMILY FOOT CARE |
Entity Type | Organization |
Authorized Contact | ROGER ADAM HANS President 718-545-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004560) |
Enumeration Date | 2008-11-05 |
Last Update Date | 2010-01-04 |