NPI | 1134209257 |
---|---|
Entity Type | Organization |
Authorized Contact | VADIM POVZLOV President 718-891-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1136374) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-07-23 |