| NPI | 1558474445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA TEVELEV President 718-332-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 4536630001) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |