| NPI | 1306976998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN DAVID ROSADO President 914-946-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NY 006019) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 006019) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 006019) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-05-26 |