| NPI | 1972556132 |
|---|---|
| Doing Business As | PARK 56 PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARC LEVY President 212-980-6487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 003732) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 003732) |
| 213E00000X Podiatrist (Licence: NY 003732) | |
| 213ER0200X Podiatrist, Radiology (Licence: NY 003732) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY 003732) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-10-10 |