| NPI | 1952997603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY PROSOLOV President 347-539-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-07-28 |