| NPI | 1053400176 |
|---|---|
| Doing Business As | MEDICARE NSC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J ACKLEY Podiatrist, Owner 203-271-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 395) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 395) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-11-14 |