| NPI | 1538601398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MWANDO Owner 646-454-8264 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006313) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |