| NPI | 1447065172 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | AMARA SOHAIL Registered Agent 917-476-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-09-10 |