| NPI | 1053603530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN DIAZ President/Owner 516-357-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2020-11-06 |