| NPI | 1942676283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIR DANILOV President 917-589-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006701) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-12-20 |