| NPI | 1295249506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA BRONIVETSKAYA Manager 718-676-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1388246-DCA) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |