| NPI | 1568782696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON RASKIN Owner 718-484-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N005608) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |