| NPI | 1912666553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA LETSVERIDZE President 718-790-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-05-25 |