| NPI | 1033653274 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | IRENE YAGUDAYEV President/Owner 718-424-8404 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2016-12-07 | 
| Last Update Date | 2021-04-19 |