| NPI | 1942630884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVA L. BAKER Podiatrist 646-345-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NY 00637) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-07-21 |