NPI | 1639675309 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN BURGOS President/Owner 917-256-9049 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY C50803) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-04-02 |