| NPI | 1558403477 |
|---|---|
| Doing Business As | ACTIVE FOOTCARE PC |
| Entity Type | Organization |
| Authorized Contact | SUSAN LEWIN Sole Proprietor 718-445-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N005630) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-06-25 |