| NPI | 1700639341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BABAEV Authorized Official 929-434-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |