| NPI | 1255114211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARVEY Cranial Prosthetic Specialist 347-215-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |