| NPI | 1700183373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DERITIS Billing Manager 631-758-4444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1313140002) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-05-04 |