| NPI | 1639667959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL SUMALIYEV President 917-981-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |