| NPI | 1821218728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL Z FEIN Dpm/Owner 203-743-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 548) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 548) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 548) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-09-14 |