| NPI | 1669995007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKHMIN DEKHKANOV Member 347-384-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 2050808-DCA) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-10-02 |