| NPI | 1932484508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALBEN Practice Administrator 914-961-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X |
| Additional Taxonomies | 224L00000X Pedorthist |
| 224P00000X Prosthetist | |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |