Organization
QUALITY CUSTOM MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA BRONIVETSKAYA (MANAGER)
(718) 676-5092
Entity
Organization
Contact information
Practice address
1727 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-3606
(718) 676-5092
(718) 676-5093
Mailing address
1727 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-3606
(718) 676-5092
(718) 676-5093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1388246-DCA
NY
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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