| NPI | 1538019732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD KHAVASOV President 516-780-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-01-29 |