| NPI | 1851543284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR AULOV President 718-513-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1300575) |
| Additional Taxonomies | 224L00000X |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2019-01-24 |