| NPI | 1124514971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YACOV HAIM KHAIMOV President 347-596-4365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |