| NPI | 1104152891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA M NIEVES Sole Proprietor 718-234-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1277818) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |