| NPI | 1699407130 |
|---|---|
| Doing Business As | PALM TREE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | ERIC W FREILER Owner 631-838-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-11-08 |