| NPI | 1780138693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ARIAS Manager 718-834-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-04-02 |