Organization
BALLSTON MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BLOCK DC (PRESIDENT)
(518) 389-8154
Entity
Organization
Contact information
Practice address
76 GREENFIELD AVE, BALLSTON SPA, NY 12020-2423
(518) 389-8154
Mailing address
76 GREENFIELD AVE, BALLSTON SPA, NY 12020-2423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/30/2010
Last updated
10/12/2010
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