| NPI | 1750736500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJISOLA OBAWEYA Officer 718-708-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2017-08-23 |