| NPI | 1760817993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE CLOUTIER-CHAMPAGNE Podiatrist 347-585-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY n006470-1) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |