| NPI | 1548882095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK SCHAFFER Cp 516-681-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| 225000000X Orthotic Fitter | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-06-02 |