| NPI | 1659988863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRAKLI KADARIA President 212-767-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-06-09 |