Organization
MEDPROM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL OBOLENSKI (OWNER)
(917) 826-2626
Entity
Organization
Contact information
Practice address
3165 EMMONS AVE STE C2-A, BROOKLYN, NY 11235-1785
(973) 718-2626
Mailing address
3165 EMMONS AVE STE C2-A, BROOKLYN, NY 11235-1785
(973) 718-2626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
07/30/2024
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