| NPI | 1699637926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SHALOMOV President 718-813-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |