| NPI | 1104195692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRETIOLUWA KAYODE ADEBAYO Owner 917-737-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1412600) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2012-08-13 |