| NPI | 1528403193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN TAJERSTEIN Owner 718-972-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N004639-1) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N004639-1) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |