Organization
P&R MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN REILLY CERTIFIED PEDORTHIST (PRESIDENT)
(718) 207-3303
Entity
Organization
Contact information
Practice address
888 E 163RD ST, BRONX, NY 10459-4108
(718) 207-3303
Mailing address
888 E 163RD ST, BRONX, NY 10459-4108
(718) 207-3303
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
06/12/2008
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