| NPI | 1144308099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY V DERMKSIAN Treasurer 212-265-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-01-30 |