| NPI | 1871182071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOOJI KIM Dpm 845-642-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-02-10 |