| NPI | 1790965713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BARRY SIEGEL Owner/CEO 631-206-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 005107) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |