| NPI | 1912261066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RMAMAOHANA KANCHERLA Managing Partner 845-454-1942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |