Organization
DYNAMIC MEDICAL SYSTEMS INC
Active
Organization
DYNAMIC MEDICAL SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE C GREENE (PRESIDENT)
(718) 948-5668
Entity
Organization
Contact information
Practice address
476 BAY RIDGE PKWY, BROOKLYN, NY 11209
(718) 921-3085
(718) 227-6251
Mailing address
6203 AMBOY ROAD, STATEN ISLAND, NY 10309
(718) 948-5668
(718) 227-6251
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01553346
—
NY
01
—
120331
AETNA
—
Enumeration date
03/09/2006
Last updated
08/22/2020
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