| NPI | 1760550982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN FERNAND Manager 718-875-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY C3775) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-10-02 |