| NPI | 1346432473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIAS MLABASATI R Ph 718-627-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 024117) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2013-05-06 |