| NPI | 1275181703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR YUSUPOV President 917-696-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |