| NPI | 1386202307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY ALLEN Orthotist/ Prosthetist/ Owner 845-264-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-04-29 |