| NPI | 1720306897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NISANOV President 718-743-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NY 1351578) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-11-18 |