| NPI | 1669037214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDZANUN GULKAROV Vice President 718-208-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2021-07-07 |