| NPI | 1013596394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MIRZOKANDOV President 917-322-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |