| NPI | 1265907604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY PETROSYAN President 646-823-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2019-07-12 |