| NPI | 1649418567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE CARTAGENA Secretary 718-931-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 003843-1) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |