| NPI | 1588311625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LEONARDA CIACCIO Chief Operating Officer 516-993-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-11-21 |