Organization
JEFFERSON HEALTHCARE SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MANCINI (PRESIDENT)
(201) 951-3680
Entity
Organization
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(347) 506-3983
Mailing address
PO BOX 190, LEVITTOWN, NY 11756-0190
(347) 506-3983
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2000971-DCA
NY
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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