| NPI | 1639746126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULAI M A ADAMS Owner 914-306-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-07-10 |