| NPI | 1962805663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CICCONE Chief Operating Officer 845-561-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-09 |