| NPI | 1255462743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ABREU Sp 516-876-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 025458) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-04-15 |