Organization
ULTRA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRIEL UNGAR (CONTROLLER)
(718) 796-7555
Entity
Organization
Contact information
Practice address
7921 GRAYSON RD, HARRISBURG, PA 17111-5419
(718) 796-7555
(516) 566-2395
Mailing address
7921 GRAYSON RD, HARRISBURG, PA 17111-5419
(718) 796-7555
(516) 566-2395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1466586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028914120001
—
PA
Enumeration date
08/31/2014
Last updated
08/31/2014
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