| NPI | 1023249026 |
|---|---|
| Former Legal Business Name | F.K.A. LIVINGSKIN, LLC |
| Entity Type | Organization |
| Authorized Contact | MARK FORD Director 845-568-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |