Organization
PRIME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBENGA OBAWEYA (MEDICAL SUPPLY SPECIALIST)
(347) 709-1285
Entity
Organization
Contact information
Practice address
333 E 92ND ST, 6R, BROOKLYN, NY 11212-1249
(347) 777-5061
(866) 412-7150
Mailing address
333 E 92ND ST, 6R, BROOKLYN, NY 11212-1249
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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