| NPI | 1689855546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD CICCARELLO Owner 516-781-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 4008420001) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-27 |