| NPI | 1114801651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHTISHAM SAJID Director 929-327-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |