| NPI | 1235317710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN EVANS Manger 347-267-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1276695) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |