| NPI | 1992745566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR GERTSIK President 718-934-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NY N005508) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-10-01 |