| NPI | 1497353221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORUKHOV Authorized Person 917-375-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |