| NPI | 1922337849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH LEVY Owner 718-642-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N005753) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |