| NPI | 1144389404 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | ANTONY MATHEW Certifeid Orthotist,Boc Prosthetist 914-968-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-06-11 |