| NPI | 1063094860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAINDY LEINER Owner 732-370-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2022-10-31 |