| NPI | 1922385194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKA ISAAC EROJE Director 646-702-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |