| NPI | 1972761484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN B. WEISS Sole Proprietor 212-247-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N3145) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-06-02 |