| NPI | 1902388853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROECHARD EBANKS Mem. Mgr 914-584-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |