| NPI | 1922336171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR MANAHIM President 917-299-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1332948) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2011-11-21 |