Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry |
| NPI Number | 1134885809 |
| LBN Legal business name | COMPREHENSIVE PODIATRY SERVICES |
| Authorized official | SYEDA ROSHAN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/16/2021 |
| Last updated | 07/08/2022 - About 4 years ago |
| Identifiers | n/a |
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