| NPI | 1952489163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE S GOODMAN CEO 631-732-5556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-12 |