| NPI | 1184655326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ROSSETTI Billing Mgr 718-441-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-09-11 |