| NPI | 1578821674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMOY KENNEDY Owner 631-455-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 4165967114263301) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2020-03-02 |