Organization
SAGAMORE BIORX LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PHILLIP GOETZ (PRESIDENT)
(516) 996-8771
Entity
Organization
Contact information
Practice address
1160 E JERICHO TPKE STE 220, HUNTINGTON, NY 11743-5405
(516) 996-8771
Mailing address
1160 E JERICHO TPKE STE 220, HUNTINGTON, NY 11743-5405
(516) 996-8771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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