| NPI | 1144650524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA DOCHIM President 347-254-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |