| NPI | 1942298229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSTISLAV MELNIKOV Manager 718-436-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 0958804) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |