| NPI | 1508347824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS SIMON President 718-336-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1085169) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |