| NPI | 1609943117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT EVAN HERBERT President 516-378-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: NY N006079) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-08-05 |