Organization
PREMIUM BRACES LLC
Active
Other names
PREMIUM BRACES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JOHN (OFFICE MANAGER)
(315) 215-0644
Entity
Organization
Contact information
Practice address
239 E KINGSBRIDGE RD APT 1E, BRONX, NY 10458-4431
(347) 517-1312
Mailing address
239 E KINGSBRIDGE RD APT 1E, BRONX, NY 10458-4431
(315) 215-0644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/30/2024
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