| NPI | 1356490536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN F HUTNICK Certified Prosthetist Orthotist Own 631-467-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-05-12 |