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 |