| NPI | 1740446913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAF YEVDAYEV Owner 516-902-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1191657) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |