| NPI | 1174840094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS BETH WILSON President 914-617-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2010-05-02 |