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Organization

REVIVAL DURABLE MEDICAL EQUIPMENT INC

Active
Other names
Revival Durable Medical Equipment Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EUNICE K PARK (PRESIDENT)
(201) 625-2723
Entity
Organization

Contact information

Practice address
136-69 41AVE 1FL, FLUSHING, NY 11355-2433
(718) 888-1535
(718) 888-9154
Mailing address
136-69 41ST AVE 1FL, FLUSHING, NY 11355-2433
(718) 888-1535
(718) 888-9154

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1462251
NY

Other

Enumeration date
12/12/2013
Last updated
08/20/2014
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