| NPI | 1679559645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KRAVCHENKO Owner/Manager 718-265-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1197116) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-22 |