Organization
GO HEALTH SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KENNY (OWNER)
(718) 308-3513
Entity
Organization
Contact information
Practice address
296 CLAWSON ST, STATEN ISLAND, NY 10306-3044
(718) 308-3513
Mailing address
296 CLAWSON ST, STATEN ISLAND, NY 10306-3044
(718) 308-3513
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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