C00125;TA109057;469W115;1;;Charles Stockl;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA109057;TDIMW115;3;;Charles Stockl;Foot Specialists of Long Island;119 New York Ave;Massapequa;NY;11758;06/10/25
C00125;TA109057;COMP;Yes
