| NPI | 1700965332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNI PERSICH President 718-728-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2025-09-11 |