| NPI | 1740585470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSPEH MAGGIACOMO Manager 516-326-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 354972900) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |