Organization
HERITAGE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK OGBONUBA MD (OWNER)
(202) 322-7818
Entity
Organization
Contact information
Practice address
2005 MERRICK RD, 202, MERRICK, NY 11566-4644
(202) 322-7818
Mailing address
2005 MERRICK RD, 202, MERRICK, NY 11566-4644
(202) 322-7818
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BN12003457
NY
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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