| NPI | 1629158902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L MONCKTON Office Manager 585-343-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004862) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006113) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |