| NPI | 1699055905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATEL STEWART Owner 718-528-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1249907) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |