| NPI | 1831924703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HAIDER Owner 929-269-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-12-23 |