| NPI | 1700172582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M CASTILLO CEO 718-685-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006326) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2013-12-18 |