| NPI | 1912315771 |
|---|---|
| Doing Business As | PINE STREET PODIATRY |
| Entity Type | Organization |
| Authorized Contact | AVIA REUVENI Owner 717-503-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2019-08-15 |