| NPI | 1780953315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMPHREY UDE Owner 646-327-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1210706) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2012-10-09 |