| NPI | 1659667897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAO RADHAKRISHNA SURYADEVARA Manager/President 718-347-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |