Organization
EVERGREEN SURGICAL SUPPLY INC.
Active
Organization
EVERGREEN SURGICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHI HONG LI (PRESIDENT)
(718) 439-6038
Entity
Organization
Contact information
Practice address
5703 6TH AVENUE, BROOKLYN, NY 11220-3807
(718) 439-6038
(718) 439-6045
Mailing address
5703 6TH AVENUE, BROOKLYN, NY 11220-3807
(718) 439-6038
(718) 439-6045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1127183
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01717591
—
NY
Enumeration date
10/06/2006
Last updated
08/26/2024
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