| NPI | 1376176792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY KLEIN PT 315-399-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2025-04-29 |