| NPI | 1871298240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOD MATHEW HALLER Physician/ Owner 718-432-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |