| NPI | 1164769469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN VICTOR BRACKETT VP 917-363-8618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |