Organization
DYNAMIC RESPIRATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MELNICKE (OWNER)
(718) 362-1411
Entity
Organization
Contact information
Practice address
363 ROUTE 46 W STE 160, FAIRFIELD, NJ 07004-2459
(973) 222-6195
(718) 362-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(877) 258-6331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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