Organization
OZONE PARK SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BORUKHOV (AUTHORIZED PERSON)
(917) 375-3439
Entity
Organization
Contact information
Practice address
9718 101ST AVE, OZONE PARK, NY 11416-2561
(917) 375-3439
Mailing address
9718 101ST AVE, OZONE PARK, NY 11416-2561
(917) 375-3439
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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