| NPI | 1619511490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HERBERT Md 212-381-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-03-03 |