| NPI | 1407005572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DAVIS Ownership 917-202-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1311418) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2013-10-28 |