| NPI | 1245020643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVA RAM KORAKUTTY Owner 315-603-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-07-27 |