| NPI | 1841208709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY BAKSHIYEV President/Owner 201-797-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-05-27 |