| NPI | 1366243206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY MARIE GLENN Manager 646-925-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |