| NPI | 1750566881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HOWARD STARK Owner 718-821-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N004970) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-12-25 |