| NPI | 1861669798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY KONRAD OLSEN Owner/Podiatrist 718-833-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N005647) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2011-09-01 |