| NPI | 1003407339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMNER KHAIMOV President 718-899-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |