| NPI | 1679745103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE G RAIO Owner/Podiatrist 631-754-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N005219) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2010-02-24 |