| NPI | 1386992261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIEN MATTIA President 718-554-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2012-08-26 |