| NPI | 1427842210 |
|---|---|
| Doing Business As | ICON ORTHO FOOTWEAR |
| Entity Type | Organization |
| Authorized Contact | YING CHEN President 917-968-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-07-02 |