| NPI | 1649419367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL FREDERICK Manger 347-404-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2022-07-21 |