| NPI | 1992082705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY V LUCIDO Owner 718-745-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004115) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |