Individual
MS. ALLA ROSTOMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14256 ROOSEVELT AVE, FLUSHING, NY 11354-6042
(718) 661-3366
(718) 661-4666
Mailing address
PO BOX 245146, BROOKLYN, NY 11224-5146
(718) 661-3366
(718) 661-4666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113272582
TAX ID
NY
Enumeration date
07/15/2016
Last updated
06/08/2023
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