| NPI | 1780802264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO GOEZ Owner 516-378-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N004738) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N004890) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-20 |