| NPI | 1225023625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS SIMON President 718-336-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 02205407) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 4287900001 FED) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: 2575) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NY 4399513) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2024-05-07 |