| NPI | 1528426707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS MORMINO Owner 718-876-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NY 042434) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |