NPI | 1962743203 |
---|---|
Entity Type | Organization |
Authorized Contact | HILLARY E BRUNNER Director 917-575-5488 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1926) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2024-04-22 |