| NPI | 1174178750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY L TEEPLE Manager 516-268-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |