| NPI | 1053074658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA HAYNES Administrator 516-407-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-25 |