| NPI | 1396613998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEN BEREMESH Hmdr Exemptee 917-508-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |