| NPI | 1770578049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M LEVINE Podiatrist 212-535-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N002752) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ MD001744) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-06-20 |