Organization
MOHAWK MEDICAL SUPPLY LLC
Active
Parent organization
NO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
MRS. MARIA HUNT (OWNER)
(315) 866-3700
Entity
Organization
Contact information
Practice address
101 W MAIN ST, MOHAWK, NY 13407-1017
(315) 866-3700
(315) 866-4494
Mailing address
101 W MAIN ST, MOHAWK, NY 13407-1017
(315) 866-3700
(315) 866-4494
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090206
—
NY
Enumeration date
03/26/2007
Last updated
06/21/2018
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