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Organization

ADVANCED ORTHOMEDICAL SUPPLIES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIUSZ P GROMUL (PRESIDENT)
(516) 855-2300
Entity
Organization

Contact information

Practice address
4461 11TH ST, LONG ISLAND CITY, NY 11101-5117
(516) 855-2300
(516) 977-0412
Mailing address
4461 11TH ST, LONG ISLAND CITY, NY 11101-5117
(516) 855-2300
(516) 977-0412

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
915661944
NY

Other

Enumeration date
08/09/2008
Last updated
08/09/2008
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