| NPI | 1215126081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVA D BUTTERS Director 718-783-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY oo4186-1) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |