| NPI | 1487401998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETI WEINBERG CFO 347-598-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |