| NPI | 1598015216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMUTASEMB M SHEHADA Dpm 718-986-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY n006492) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-18 |