Organization
BRA SMYTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA A SIMON (PART OWNER)
(212) 721-5111
Entity
Organization
Contact information
Practice address
2177 BROADWAY, NEW YORK, NY 10024-6603
(212) 721-5111
Mailing address
2177 BROADWAY, NEW YORK, NY 10024-6603
(212) 721-5111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
12/23/2007
Last updated
07/21/2022
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