C00125;TA110597;20015XW130;1;;Joseph Castro;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;05/22/25
C00125;TA110597;TDIMXW130;1;;Joseph Castro;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;05/22/25
C00125;TA110597;COMP;Yes
