| NPI | 1194188417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKENNA JASON EMEJURU Owner 646-578-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 4920979) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-03-14 |