| NPI | 1184939373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL YANKELEVICH Director 917-721-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |