| NPI | 1205961877 |
|---|---|
| Former Legal Business Name | GRAEBER'S MEDICAL AND NUTRI SUPPLY |
| Entity Type | Organization |
| Authorized Contact | ROGER C DEZINNO Member 203-235-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |