| NPI | 1508283904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUGBENGA OBAWEYA Officer 718-484-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-11-21 |