| NPI | 1083606875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG KISELYOV President 718-375-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 332BC3200X) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |