| NPI | 1265973002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY ALLEN Owner 845-264-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY C36447) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |