Organization
PARK AVENUE MEDICAL EQUIPMENT LLC
Active
Parent organization
PANGEA GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANGEA GROUP LLC
Authorized official
MR. PUCCINI INOKON (CHIEF EXECUTIVE OFFICER)
(646) 244-8595
Entity
Organization
Contact information
Practice address
303 PARK AVE S, 1423, NEW YORK, NY 10010-3601
(646) 244-8595
(718) 355-9661
Mailing address
303 PARK AVE S, 1423, NEW YORK, NY 10010-3601
(646) 244-8595
(718) 355-9661
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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