Organization
FUNCTIONAL DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AATIF SIDDIQUI (OWNER)
(646) 823-4034
Entity
Organization
Contact information
Practice address
22 KENDRICK HILL RD, SARATOGA SPRINGS, NY 12866-6807
(212) 354-2020
Mailing address
22 KENDRICK HILL RD, SARATOGA SPRINGS, NY 12866-6807
(212) 354-2020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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