| NPI | 1326022922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GROYSMAN President 718-723-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NY 01091221) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NY 01091221) | |
| 333600000X Pharmacy (Licence: NY 01091221) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 01091221) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-07-15 |