| NPI | 1811192834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B. AXT Doctor 631-475-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 003178-1) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |