| NPI | 1770028094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OREN GAVRIELY President 917-535-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 2014604066) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |