| NPI | 1396895017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J HICKEY Officer 516-735-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-01-26 |