| NPI | 1669771127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RICHARDSON Partner 914-751-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1383805) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NY 1383805) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NY 1383805) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NY 1383805) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 1383805) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-12-09 |