Organization
SUGARLESS SHOPPE, INC.
Active
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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