| NPI | 1093719593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D FLYNN President 631-727-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2008-06-05 |