| NPI | 1659585719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE M GARCIA Medical Billing 212-472-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 0634520001) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 0634520001) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-07-17 |