| NPI | 1922279454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY MARY SOUSA President 516-827-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY co002078) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-03-08 |