Organization
MYRTLE DME NYC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFRAIM MASTOV (OWNER)
(718) 864-3311
Entity
Organization
Contact information
Practice address
11611 MYRTLE AVE, RICHMOND HILL, NY 11418-1744
(347) 514-9118
Mailing address
11611 MYRTLE AVE, RICHMOND HILL, NY 11418-1744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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