| NPI | 1760417083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRINEETA GADE Owner 718-946-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 014498) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 014498) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-09-18 |