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Organization
MEDISOURCE SUPPLIES INC
Active
Organization
MEDISOURCE SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALLY (MANAGER)
(803) 232-3151
Entity
Organization
Contact information
Practice address
8056 LANGDALE ST, NEW HYDE PARK, NY 11040-1512
(803) 232-3151
Mailing address
8056 LANGDALE ST, NEW HYDE PARK, NY 11040-1512
(803) 232-3151
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/24/2026
Last updated
09/24/2026
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