Organization
1814 SUPPLY CORP.
Active
Organization
1814 SUPPLY CORP.
Active
Other names
Garrett Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA SUE JACOBS (PRESIDENT)
(518) 869-1289
Entity
Organization
Contact information
Practice address
1814 CENTRAL AVE, ALBANY, NY 12205-4754
(518) 869-1289
(518) 869-1679
Mailing address
1814 CENTRAL AVE, ALBANY, NY 12205-4754
(518) 869-1289
(518) 869-1679
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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