| NPI | 1316577109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY DEBENEDICTIS Credentialing 914-428-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |