| NPI | 1700880507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KENNETH SMITH President 718-268-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-09-22 |