| NPI | 1710976477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE MAURICE HURNEY President 203-481-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000087) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000087) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-12-06 |