| NPI | 1780963629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BAMBY Vice President 347-560-6891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 006500) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |