| 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 |