Organization
PREMIER MEDICAL SUPPLY
Active
Organization
PREMIER MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIELA AMISSAH (OWNER)
(917) 312-4500
Entity
Organization
Contact information
Practice address
122 BODEN AVE, VALLEY STREAM, NY 11580-5145
(917) 312-4500
(516) 740-2863
Mailing address
122 BODEN AVE, VALLEY STREAM, NY 11580-5145
(917) 312-4500
(516) 740-2863
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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