| NPI | 1629006549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN MANUCHARIAN Clinical Director 718-858-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: N/A) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-03-24 |