| 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 |