| NPI | 1700369188 |
|---|---|
| Other Name | GRAMERCY PARK PODIATRY |
| Entity Type | Organization |
| Authorized Contact | DAVID J COOPER Managing Partner 516-622-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |