| NPI | 1770445249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAMAT IBRAGIMOV President 929-377-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |