| NPI | 1831174259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORKHAN YUSUFOV Owner/President 917-478-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2021-03-08 |