| NPI | 1871854463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM MOLLENHAUER CEO 631-475-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 332B00000X) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: 335E00000X) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2017-05-04 |