| NPI | 1023425022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM EMELIO MIURA Owner 631-328-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 49723-h) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |