| NPI | 1538790951 |
|---|---|
| Other Name | HQMP POUGH. PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JOHN BERZINSKY VP Finance 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |