| NPI | 1124330071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ETTS Mangaing Member 516-903-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |