| NPI | 1962543124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA BARONE Podiatrist 718-494-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N003885-1) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: NY N002790-1) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-08-12 |