| NPI | 1770973703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASTHY T JEAN-LOUIS Owner 347-770-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00293100) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2016-09-07 |