| NPI | 1780819557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDER VALENTINOVICH LAVRENOV President 917-687-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006226) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2011-10-17 |