| NPI | 1821514027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL LAVIAN President 646-535-9875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006389) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 006389) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY 006389) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |