| NPI | 1134423312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PRINCE Owner/President 516-782-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY N004623) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |