| NPI | 1104962547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES DESORMEAUX C.E.O 718-257-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1118484) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-12-07 |