| NPI | 1659553311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BIRCH Owner 718-232-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY N002931) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N002931) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N002931) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-06-16 |