| NPI | 1164130704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAPHIRA KALONTAROV President 516-320-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |