| NPI | 1154429926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LICAUSI President 347-743-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY CFO075) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY CFO075) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |