| NPI | 1922163468 |
|---|---|
| Doing Business As | PROCARE |
| Entity Type | Organization |
| Authorized Contact | JONG KU PARK President 718-939-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 224L00000X Pedorthist (Licence: C49901) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: C0002130) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2022-07-21 |