| NPI | 1629089016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEGOR ZADOROZHNYI President 347-799-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224L00000X Pedorthist |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-02-04 |