| NPI | 1881264398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA YELIZAROV President 347-947-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2022-01-26 |