| NPI | 1093020257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLA ROSELLI Owner 718-454-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 0053121) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 0053121) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2024-06-11 |