| NPI | 1689795890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATTHEW LOCASTRO Doctor 718-292-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N003762) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N004738) |
| 213E00000X Podiatrist (Licence: NY N005916) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-09-30 |