| NPI | 1083262604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B MYTELKA Manager 845-517-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |