| NPI | 1528293958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALY VOLOVOY Internal 917-499-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 205549) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 212904) |
| 174400000X Specialist (Licence: NY 183024) | |
| 174400000X Specialist (Licence: NY 156503) | |
| 213E00000X Podiatrist (Licence: NY N005136) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |