| NPI | 1730578618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES BUCARETZKY Presedent 347-570-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: DE CFOM0510) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |