Organization
INNOVATIVE PRODUCT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MANELA (CEO)
(917) 846-5099
Entity
Organization
Contact information
Practice address
207 ROCKAWAY TPKE, SUITE#3A, LAWRENCE, NY 11559-1216
(516) 612-2583
(516) 612-2584
Mailing address
207 ROCKAWAY TPKE, SUITE#3A, LAWRENCE, NY 11559-1216
(516) 612-2583
(516) 612-2584
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
07/31/2008
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