Organization
ACTIVE CARE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL IONIN (PRESIDENT)
(718) 208-3855
Entity
Organization
Contact information
Practice address
2426 EASTCHESTER RD, BRONX, NY 10469-5947
(718) 499-9111
Mailing address
PO BOX 320143, BROOKLYN, NY 11232-0143
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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