| NPI | 1912910571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDIA PENA Manager 212-569-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-10-05 |