| NPI | 1841591955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT EVANGELISTA President 718-848-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N004384) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |