| NPI | 1821276577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LOFREDO Office Manager 631-351-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 146514) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2019-12-25 |