| NPI | 1992668800 |
|---|---|
| Doing Business As | NY CRANIUM PROSTHESIS LAB |
| Entity Type | Organization |
| Authorized Contact | PETRA MATTHEWS Owner 929-759-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2026-01-27 |