| NPI | 1518439058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VYACHESLAV MASHKABOV President 917-916-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |