| NPI | 1285920777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLE MODESTE President 917-975-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 22MO1039722) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |