Organization
LONG ISLAND MED SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MCNULTY (OWNER)
(516) 297-0262
Entity
Organization
Contact information
Practice address
2639 MIDDLE COUNTRY RD # 2639-2, CENTEREACH, NY 11720-3669
(631) 268-3570
Mailing address
2639 MIDDLE COUNTRY RD # 2639-2, CENTEREACH, NY 11720-3669
(631) 268-3570
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
02/07/2024
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