| NPI | 1740599497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA KOSTENKO Manager 347-810-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1368128) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |