| NPI | 1942702527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PORTALE Owner 201-723-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |