| NPI | 1992136253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR SOFER President 201-953-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |