NPI | 1881404705 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA LEONARDA CIACCIO Chief Operating Officer 516-993-8666 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP1100X Clinic/Center Podiatric |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |