| NPI | 1053596841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GLUCK Physician 516-280-5844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 155436) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2008-06-11 |