| NPI | 1851126361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVIN RAJAKUMAR Owner 646-331-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |