| NPI | 1821328543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN TAJERSTEIN Owner 718-972-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NY 004639) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2024-03-12 |