| NPI | 1811238611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGORIY KANDKHOROV President 917-863-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2024-09-11 |