Organization
SUGARLESS SHOPPE, INC.
Active
Other names
Sugar Control Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRA WILLIAM SMALL DME (VICE PRESIDENT)
(631) 773-5370
Entity
Organization
Contact information
Practice address
306 MAIN ST, FARMINGDALE, NY 11735-3507
(631) 773-5370
(631) 773-5369
Mailing address
306 MAIN ST, FARMINGDALE, NY 11735-3507
(631) 773-5370
(631) 773-5369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613083
—
NY
Enumeration date
12/16/2006
Last updated
08/22/2020
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