| NPI | 1629551908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ROY Podiatric Surgeon 718-532-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |