Organization
COMPLETE ORTHO SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELCHIN RAFAILOV SR. (PRESIDENT)
(212) 920-0133
Entity
Organization
Contact information
Practice address
1701 AVENUE P STE M, BROOKLYN, NY 11229-1205
(212) 920-0133
Mailing address
1701 AVENUE P STE M, BROOKLYN, NY 11229-1205
(212) 920-0133
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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