| NPI | 1336807304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAEKHO FRAEKHO DZHURAYEVA Authorized Official 718-837-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |