| NPI | 1790372878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN SCHROEDER Director Of Administration 212-606-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist Sports Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP0504X Podiatrist Public Medicine | |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2022-04-27 |