| NPI | 1164252110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ABAYEV Authorized Official 929-698-1096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |