| NPI | 1861564148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANN DARIN Manager 631-666-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N0034811) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-06-11 |