| NPI | 1942935846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVEED RANGREZ CEO 347-804-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224L00000X | |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2022-07-24 |