| NPI | 1780751305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A RESTREPO President 845-278-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 024990) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 024990) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: NY 024990) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2025-09-11 |