| NPI | 1124318936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAYINKA BADERO Director 718-618-7013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2012-04-09 |