Organization
BLUE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJAN LAHIJANI (OWNER)
(718) 574-4400
Entity
Organization
Contact information
Practice address
1036 LAFAYETTE AVE, BROOKLYN, NY 11221-3005
(718) 574-4400
(347) 425-7832
Mailing address
1036 LAFAYETTE AVE, BROOKLYN, NY 11221-3005
(718) 574-4400
(347) 425-7832
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TF276950802
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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