| NPI | 1780184341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J COOPER Chief Executive Officer 516-622-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |