| NPI | 1184711822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN CHAN Site Manager 718-439-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1127183) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-05-08 |