| NPI | 1619947173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS KHANIS President 732-617-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 0987420002) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 0987420002) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-08-22 |