| NPI | 1659569887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A DELORENZO Office Administrator 845-242-8890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N005467) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2019-08-23 |