| NPI | 1760553820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSS LEVINE Partner 212-725-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N4854) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: NY N4283) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-08-22 |