NPI | 1881758225 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNEJ JOSEPH BODAMER President 631-265-8802 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY no-3889) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2008-01-17 |