| NPI | 1659383032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TULIO RIVERA Owner 718-748-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY CPO02645) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY CPO02645) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-04-29 |