Organization
NUTRI USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEIGE OBERLANDER (PRESIDENT)
(718) 858-0908
Entity
Organization
Contact information
Practice address
103 SKILLMAN ST LOWR LEVEL, BROOKLYN, NY 11205-2877
(718) 858-0908
Mailing address
103 SKILLMAN ST APT 5B, BROOKLYN, NY 11205-2874
(718) 486-6599
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
1347929
NY
Other
Enumeration date
04/28/2010
Last updated
07/18/2011
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