| NPI | 1801067822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG JOHN CAMPBELL Owner 718-981-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 4417760001) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N004711-1) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2018-07-27 |