C00125;TA110057;20011W090;1;;Dominick Lucarelli;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA110057;TDIMW090;3;;Dominick Lucarelli;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA110057;COMP;Yes
