| NPI | 1407967581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARK EDELSON General Manager 516-482-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-03-19 |