| NPI | 1366369159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PETERSON Director 646-817-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |