| NPI | 1376564385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEXANDER KAUTSIS Qwner 718-564-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NY 1209201) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |