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Organization

MEDPROM INC

Active
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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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