| NPI | 1710229679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUVEN RUBINOB President 917-605-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |