Individual
IRENE S LOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
233 BROADWAY, 640, NEW YORK, NY 10279-0001
(212) 598-8000
Mailing address
233 BROADWAY, 640, NEW YORK, NY 10279-0001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006727
NY
Other
Enumeration date
10/29/2014
Last updated
02/11/2022
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