| NPI | 1851577928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL A. GREENBAUM Owner 516-484-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NY N004558) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-06-18 |