Organization
TEXTURES BY GM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE MODESTE (PRESIDENT)
(917) 975-1670
Entity
Organization
Contact information
Practice address
47 W 57TH ST, 5TH FLOOR, NEW YORK, NY 10019-3408
(917) 975-1670
Mailing address
47 W 57TH ST, 5TH FLOOR, NEW YORK, NY 10019-3408
(917) 975-1670
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
22MO1039722
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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