Organization
PROMED MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA FISHKIS (PRESIDENT)
(917) 622-2772
Entity
Organization
Contact information
Practice address
342 SHORE RD, STATEN ISLAND, NY 10307-1500
(917) 622-2772
Mailing address
342 SHORE RD, STATEN ISLAND, NY 10307-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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