Organization
ONE SOURCE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALIDA FOUCHE (OFFICE MGR)
(718) 977-1070
Entity
Organization
Contact information
Practice address
19606 LINDEN BLVD, SAINT ALBANS, NY 11412-3246
(718) 977-1070
(718) 228-7114
Mailing address
19606 LINDEN BLVD, SAINT ALBANS, NY 11412-3246
(718) 977-1070
(718) 977-1072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
02/29/2012
Last updated
03/21/2014
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