| NPI | 1194367102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKOV MAKSUMOV President 646-450-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |