| NPI | 1780323113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M NAYEEM Manager 347-943-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-02-26 |