| NPI | 1982083390 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL NAGELBERG Doctor Of Podiatric Medicine 718-768-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006458) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |