Organization
CONVENANT MEDICAL SUPPLY, INC
Active
Organization
CONVENANT MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FEMI AINA (OWNER)
(214) 607-8025
Entity
Organization
Contact information
Practice address
1570 WALTON AVE, BRONX, NY 10452-6104
(214) 607-8025
(214) 553-9271
Mailing address
1570 WALTON AVENUE, BRONX, NY 10452-6104
(214) 607-8025
(214) 553-9271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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