| NPI | 1063129591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PROSOLOV President 718-750-3357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-12-14 |