| NPI | 1275170938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GAVRILOV President 929-777-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |