C00125;TA107268;80015W090;1;;Lydia Caruso;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/09/25
C00125;TA107268;TDIWW090;3;;Lydia Caruso;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/09/25
C00125;TA107268;COMP;Yes
