| NPI | 1770747891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNI PERSICH Sole Proprietor 718-777-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY N004789) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-08-04 |