Organization
PREMIUM ASSOCIATES NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJMAL KHAN (OWNER)
(646) 664-5351
Entity
Organization
Contact information
Practice address
185 WILLIS AVE, MINEOLA, NY 11501-2671
(646) 664-5351
Mailing address
185 WILLIS AVE, MINEOLA, NY 11501-2671
(646) 664-5351
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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