| NPI | 1205443538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAFAR ISAMITDINOV President 718-575-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |