Organization
PSC MEDICAL SUPPLY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO SEVERINO II (MANAGER)
(718) 322-6600
Entity
Organization
Contact information
Practice address
9806 101ST AVE, OZONE PARK, NY 11416-2607
(718) 322-6600
(718) 322-7846
Mailing address
9806 101ST AVE, OZONE PARK, NY 11416-2607
(718) 322-6600
(718) 322-7846
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
NY
Other
Enumeration date
01/24/2007
Last updated
08/20/2012
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