Organization
MYRTLE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA NORRIS (OWNER)
(646) 533-2650
Entity
Organization
Contact information
Practice address
414 W 146TH STREET, APT 1, NEW YORK, NY 10031
(646) 533-2650
Mailing address
4653 CARPENTER AVE, BRONX, NY 10470-1421
(718) 708-7688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
08/14/2015
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