| NPI | 1770189946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKHMIN USTAYEV President 718-210-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |