| NPI | 1114028537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR NAZAROV Director 718-934-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 5358700001) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |