| NPI | 1417432436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER K GREEN President 917-983-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |