Organization
MG MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON AXEN (PRESIDENT)
(718) 743-2453
Entity
Organization
Contact information
Practice address
2962 AVENUE U, BROOKLYN, NY 11229-5101
(718) 743-2453
(718) 743-2352
Mailing address
2962 AVENUE U, BROOKLYN, NY 11229-5101
(718) 743-2453
(718) 743-2352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0898352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01369066
—
NY
Enumeration date
08/03/2006
Last updated
08/22/2020
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