| NPI | 1770078156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMION AMINOV President 718-787-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |