| NPI | 1851772511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GUBERMAN Residency Director 718-963-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N004232) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |