| NPI | 1710988985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR F ZAKY Owner/President 203-942-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000749) |
| Additional Taxonomies | 213EP0504X Podiatrist Public Medicine (Licence: CT 000749) |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: CT 000749) | |
| 213ER0200X Podiatrist Radiology (Licence: CT 000749) | |
| 213ES0000X Podiatrist Sports Medicine (Licence: CT 000749) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: CT 000749) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000749) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-06-11 |