| NPI | 1497229066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMERLAN IFFRAIMOV President 917-416-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |