Organization
MOTHER GOOSE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE FIELDS-EALEY (CEO)
(315) 708-6000
Entity
Organization
Contact information
Practice address
720 N MAIN ST, NORTH SYRACUSE, NY 13212-1665
(315) 385-7011
(315) 410-5376
Mailing address
720 N MAIN ST, NORTH SYRACUSE, NY 13212-1665
(315) 385-7011
(315) 410-5376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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