| NPI | 1134590383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT NOEL BONANNO Owner 917-209-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 032364) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |