| NPI | 1760649214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R NISENSON Sole Proprietor 802-362-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 0560000179) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2011-06-22 |