| NPI | 1639830656 |
|---|---|
| Doing Business As | PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN R ROY Podiatrist 718-532-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |