| NPI | 1841776879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALUCHUKWU ONUBOGU President 631-355-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2023-07-07 |