| NPI | 1205007747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN BOARDMAN Prop 201-445-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 31TD00220800) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2013-02-11 |