| NPI | 1649766510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNINE SWEENEY Asst. Director, Provider Resources 845-796-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |