| NPI | 1518269752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORELIS JIMENEZ Dpm 347-564-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006307) |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2017-04-13 |