Organization
MEDIVA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ABRAHAM (OWNER)
(732) 668-5529
Entity
Organization
Contact information
Practice address
469 E 147TH ST, BRONX, NY 10455-4181
(732) 668-5529
Mailing address
531 W 49TH ST APT 3W, NEW YORK, NY 10019-7150
(732) 668-5529
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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