| NPI | 1023459021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY M FISCHMAN Prosthodontist 516-482-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 28787) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-11 |