| NPI | 1003592767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA TAZETDINOVA President 347-448-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-05-15 |