| NPI | 1730993627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASON HAIMOV FUZAILOV President 917-615-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-20 |