| NPI | 1215067756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS EDWARD DRYGAS President 845-426-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NJ 45PO00013300) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: NJ 45PO00013300) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-04-15 |