| NPI | 1356842132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIRAS MARSHEH Owner 917-379-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-11-13 |