| NPI | 1902113392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J. MCKINNON Billing Manager 914-244-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N005063-1) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |