| NPI | 1497585434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESYA MOSHEYEVA Authorized Official 929-640-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |