Organization
21 AVE PHARMACY & MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAM SALAMEH (TREASURER)
(718) 449-4949
Entity
Organization
Contact information
Practice address
8511 21ST AVE, BROOKLYN, NY 11214-3207
(718) 449-4949
Mailing address
8511 21ST AVE, BROOKLYN, NY 11214-3207
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1259801-DCA
NY STATE DEPARTMENT OF CONSUMER AFFAIRS
NY
Enumeration date
05/20/2020
Last updated
03/18/2021
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