| NPI | 1528076635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIDA NASREEN QADIR Pres. 212-427-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NY 024291) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 024291) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |