| NPI | 1770978421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH SCOTTO DICLEMENTE Podiatrist 718-768-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY 005032) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |