| NPI | 1114405701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONINA KUTSAREVA Owner 718-544-0913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |