| NPI | 1760261754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNY MAKHIJANI Doctor 516-554-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |