Organization
GOTHAM SUPPLY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR NEKTALOV (PRESIDENT)
(516) 519-8880
Entity
Organization
Contact information
Practice address
344 JERICHO TPKE APT 2, FLORAL PARK, NY 11001-2166
(516) 519-8880
Mailing address
344 JERICHO TPKE SUITE 2, FLORAL PARK, NY 11001-2166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/11/2021
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