| NPI | 1275121105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDAKHAY MARDAKHAYEV President 516-453-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |