| NPI | 1225514128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL ABDURAKHMANOV Authorized Official 718-426-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |