| NPI | 1831362375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R. TEITEL Office Manager 516-822-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N0022651) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2012-03-15 |