NPI | 1114670221 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGETTE MITCHELL Owner 646-345-6291 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2022-01-28 |
Last Update Date | 2022-01-28 |