| NPI | 1881961191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM KALIDINDI Managing Member 917-769-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2013-04-12 |