| NPI | 1316622830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RAFAILOVA Director 917-498-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| 332S00000X Hearing Aid Equipment | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |