| NPI | 1902047400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT LYNCH Orthotic Fitter 646-250-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 03221) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 03221) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2011-05-16 |