| NPI | 1912740606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR ALI President 929-444-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |