| NPI | 1841544327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ANTHONY STEWART Owner 718-484-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1446447) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2021-09-23 |