| NPI | 1245843309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN CORKE Authorized Official 516-210-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-11-15 |