Organization
GREAT SHAPES OF ALBERTSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN GOLDSTEIN (CONTROLLER)
(516) 364-1222
Entity
Organization
Contact information
Practice address
190 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577-1953
(516) 364-1222
(516) 364-0822
Mailing address
190 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577-1953
(516) 364-1222
(516) 364-0822
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
11/24/2008
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