| NPI | 1679815013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE PAUL LOOR CEO 347-595-7569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY R006396) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2025-04-30 |