| NPI | 1598447567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DIXON Administrator 917-361-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |