| NPI | 1558379412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY BAKSHIYEV Manager/Owner 973-482-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 224P00000X Prosthetist | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-05-27 |