| NPI | 1003673757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYLO FEDOTOV President 347-728-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |