| NPI | 1861547051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED SALLEY President 718-447-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 0763244) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 0763244) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-08-09 |