| NPI | 1760894869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE WARREN YEARWOOD Owner 917-731-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 203544) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |