| NPI | 1184655987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY FREIBERG President 718-919-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NY 332BP3500X) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |