| NPI | 1376993758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANNESSA MONTES CEO 929-264-8943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |