| NPI | 1861668022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA PRERO Vice President 516-536-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY n003065) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2010-02-11 |