| NPI | 1891703179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO SEVERINO Manager 718-322-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-08-08 |