| NPI | 1942699749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JACK ALLEN Owner 516-779-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: NY 011083) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2024-03-01 |