| NPI | 1689687337 |
|---|---|
| Former Legal Business Name | SCHODACK PODIATRY, PONDVIEW PODIATRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN ALTWERGER Secretary 518-479-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N003170) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N003170-1) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-08-12 |