| NPI | 1487929535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHO FATTAHOV President 718-381-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1302827) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |