| NPI | 1487269551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWAN CLARKE Director 718-650-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |