| NPI | 1841305026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M SUTERA Podiatrist 212-755-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N0060302) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00279500) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |