| NPI | 1811154834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CHARLES TUMMINELLO President 516-619-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004919) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: NY N004919) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N004919) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-09-18 |