| NPI | 1205981685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO SEVERINO Manager 718-322-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-08-20 |