Organization
PREMIER MEDICAL SUPPLY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENSON EGBUTA (PRESIDENT)
(914) 282-0907
Entity
Organization
Contact information
Practice address
95 E 161ST ST, SUITE 2, BRONX, NY 10451-2205
(914) 282-0907
Mailing address
111 CHAUNCEY AVE, NEW ROCHELLE, NY 10801-2515
(914) 282-0907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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