| NPI | 1891853578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL BASIL STEWART Director 718-284-3982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 03320) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-03-11 |