| NPI | 1801035233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANA DIMITROVICH General Manager 201-943-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ CFo03082) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ CFts0148) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2012-01-04 |