| NPI | 1568272979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ZAVLANOV Authorized Official 718-772-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |