| NPI | 1417899352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER KEENEY Supervisor 646-980-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-04-13 |