| NPI | 1114104643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER JASON MALKIN CEO 917-815-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |