| NPI | 1811588163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA PROKOPENKO Office Administrator 929-284-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |