| NPI | 1093931792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUIE JOHNSON President 516-557-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-11-02 |