| NPI | 1760792634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN J. DONOVAN President 718-769-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY N003550-1) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |