| NPI | 1730623869 |
|---|---|
| Doing Business As | WESTSIDE PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL ERIC TELLEM Podiatrist 585-247-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2025-10-16 |