| NPI | 1386040194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JOSEPH BENENATI President 631-254-5577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |