| NPI | 1710360201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGAL ILYAS President 718-428-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 2019021) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |