Organization
CONCORD DIRECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER BENJAMIN (PRESIDENT)
(646) 250-0198
Entity
Organization
Contact information
Practice address
1684 E 18TH ST, LOWER LEVEL, BROOKLYN, NY 11229-1249
(646) 250-0198
Mailing address
1684 E 18TH ST, LOWER LEVEL, BROOKLYN, NY 11229-1249
(646) 250-0198
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2011630DCA
NY
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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