| NPI | 1073542841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL M MA President 718-762-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 026639) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-12-17 |