| NPI | 1568646933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES SULLIVAN Owner 718-824-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N003134) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |