| NPI | 1861932212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKOV KHODZHAYEV President 516-400-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 2049301-DCA) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2023-03-16 |