| NPI | 1942650254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIBISHIRIN DAVYDOVA President 516-284-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 2038796-DCA) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-22 |