| NPI | 1285270066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH FOLGER KALATSKY Owner/Manager 347-631-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-02-06 |