| NPI | 1255761318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA LISENENKOV Owner/President 347-850-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: DE CFom0560) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2025-06-12 |