| NPI | 1811108525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN J GOODMAN Podiatrist 718-376-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY n3926) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY n3936) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |