| NPI | 1508973207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSE MADU EZEMMA Secretary/ Manager 718-251-5037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-09-14 |