| NPI | 1477880896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIYEL ADZHIASHVILI President 917-304-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE CPed 3003) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2020-07-08 |