| NPI | 1487923926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TADD DEREK MCLAUGHLIN Operating Manager 631-444-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2012-09-27 |