| NPI | 1396474409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS IZYAGUYEV President/Owner 718-567-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-10-23 |