| NPI | 1841525425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA DELAURENTIIS President 917-587-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00296400) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |