Organization
MIISUPPLY LLC
Active
Organization
MIISUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLAD MOSHE (MANAGER)
(516) 279-6622
Entity
Organization
Contact information
Practice address
450 JERICHO TPKE, MINEOLA, NY 11501-1135
(516) 279-6622
Mailing address
450 JERICHO TPKE, MINEOLA, NY 11501-1135
(516) 279-6622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2017597
NY
Other
Enumeration date
01/26/2015
Last updated
10/15/2015
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