| NPI | 1114102001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID TALYANSKY Ower 718-382-6409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 7401) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |