Organization
DDG MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM DONALSON (PRESIDENT)
(212) 234-9774
Entity
Organization
Contact information
Practice address
2465 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10030-3518
(212) 234-9774
(212) 694-4360
Mailing address
2465 ADAM CLAYTON POWELL JR. BLVD, MAHATTAN, NY 10030-3518
(212) 234-9774
(212) 694-4360
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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