| NPI | 1588331748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED R BILLAH President 646-775-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224L00000X Pedorthist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |