| NPI | 1942632443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADY PAULA JOSE DEJESUS Owner 347-820-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006439) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2015-12-02 |