Organization
SERVICE SQUAD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRITZ DOMINIQUE (MOBILITY SERVICE PROVIDER)
(866) 438-1599
Entity
Organization
Contact information
Practice address
1235 E 85TH ST, BROOKLYN, NY 11236-4925
(186) 643-8159
Mailing address
1235 E 85TH ST, BROOKLYN, NY 11236
(186) 643-8159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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