| NPI | 1487793824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE NISAN President 718-499-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 492039) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-03-22 |