| NPI | 1295909158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS QUINN Controller 718-858-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1075730001) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: NY 1075730001) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-08-01 |