Organization
TRI STATE MEDICAL SUPPLY CO LLC
Active
Other names
Tri State Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
PYONG YUN (COO)
(718) 614-0700
Entity
Organization
Contact information
Practice address
2035 LEMOINE AVE STE 203, FORT LEE, NJ 07024-5704
(718) 614-0700
Mailing address
2035 LEMOINE AVE STE 203, FORT LEE, NJ 07024-5704
(718) 614-0700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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