| NPI | 1073023917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER Manager 347-374-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-19 |