| NPI | 1174088025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA LISENENKOV Owner 347-871-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |