| NPI | 1275791360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN NORONHA Certified Fitter Therapeutic Shoes 718-292-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |