| NPI | 1851587018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BRACH Owner 347-432-8608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2022-07-21 |