| NPI | 1689337370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA FAYZIYEV President 516-902-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |