| NPI | 1477371052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR BOLTYSHEV President 516-588-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |