| NPI | 1598379851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLIY RAVIN Owner 860-524-5194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-10-21 |