| NPI | 1063569846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN EASTON Owner 718-667-8217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-02-08 |