| NPI | 1396418299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SUPER President 917-449-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |