| NPI | 1962975722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMILA JIVRAJ Authorized Official 516-451-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2024-02-20 |