| NPI | 1265375661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALER RAKHMONOV Manager 718-629-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-10 |
| Last Update Date | 2026-05-06 |