| NPI | 1366052086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOCICERO Member 631-553-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |