| NPI | 1083898761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MOORE Office Manager 631-654-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N002665) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |