| NPI | 1336911148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA YOSUPOVA Authorized Official 718-865-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |