| NPI | 1902081623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LENTINI Doctor 518-456-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 0037591) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 0037591) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2008-01-11 |