| NPI | 1609055888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS BAZAKOS Administrator 516-872-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-07-23 |