| NPI | 1366237877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWAHILI HENRY Director Of Provider Enrollment 212-913-0828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |