| NPI | 1437683422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN A CAMPBELL President 917-702-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-28 |