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Organization

ACADEMY MEDICAL SUPPLIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN K IKUMOLA (PRESIDENT)
(917) 821-2693
Entity
Organization

Contact information

Practice address
13149 234TH ST, JAMAICA, NY 11422-1311
(718) 288-3488
(718) 374-6796
Mailing address
13149 234TH ST, JAMAICA, NY 11422-1311
(718) 288-3488
(718) 374-6796

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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