| NPI | 1578046918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELIMIR RUMENOV PETKOV President/ Owner 917-667-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-06-17 |