| NPI | 1760742316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNY M HERNANDEZ Podiatrist/CEO 917-403-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 006334) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NY 006334) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-07-23 |