| NPI | 1912575705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS A ISKHAKOV President 917-508-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |