| NPI | 1053596239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA MELVIN TARTACK Doctor/Owner 718-769-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N002391) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY N002391) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NY N002391) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-14 |