| NPI | 1972255495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM LEBOVITS Owner 718-637-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-03-09 |