Organization
JSB MENDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASHA S BENNETT (OWNER)
(347) 869-8228
Entity
Organization
Contact information
Practice address
654 LESTER ST, BX, NY 10467
(347) 869-8228
Mailing address
654 LESTER ST, BRONX, NY 10467-6706
(347) 869-8228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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