| NPI | 1750566329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA M LEWIS President 718-451-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY Noo5983) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |