| NPI | 1790392884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN COLTON Member Manager 631-617-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2022-12-01 |