| NPI | 1053424085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIB TWERSKI Owner 718-627-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000366) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 12553855) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-03-19 |