| NPI | 1255668737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIYEL ADZHIASHVILI President 917-304-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: DE CPED 3003) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2020-07-08 |