| NPI | 1942242268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SUE KIRELL Partner 718-372-4693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N003755) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |