| NPI | 1023893658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERBIE SALVADOR A BARRANTES Owner 646-671-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |