Organization
SUPREME DME NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILONA KVASNITSKA (PRESIDENT)
(929) 400-5500
Entity
Organization
Contact information
Practice address
2946 AVENUE S, BROOKLYN, NY 11229-3229
(929) 400-5500
Mailing address
2946 AVENUE S, BROOKLYN, NY 11229-3229
(929) 400-5500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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