| NPI | 1053114413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTOR KOZHANOV Co Owner 718-541-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |