Organization
SYRACUSE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MARTIN TAPE (OWNER/ MANAGER)
(315) 460-0032
Entity
Organization
Contact information
Practice address
7915 NY 298, UNIT 2, BRIDGEPORT, NY 13030
(315) 460-0032
Mailing address
7915 NY 298, UNIT 2, BRIDGEPORT, NY 13030
(315) 460-0032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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