| NPI | 1700723939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FNU MOHAMMED AJAZ Director 945-261-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-04 |