C00125;TA111239;40031W085;1;;Giuseppe Bellantuono;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/03/25
C00125;TA111239;TDIMW085;3;;Giuseppe Bellantuono;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/03/25
C00125;TA111239;COMP;Yes
