| NPI | 1356565832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL FRUCHTMAN Owner 631-427-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 171W00000X) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |