| NPI | 1912527490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINKYUNG AN President 718-702-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-08-21 |