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 |