Organization
FIDELIS MEDICAL SUPPLY LLC
Active
Organization
FIDELIS MEDICAL SUPPLY LLC
Active
Other names
THIENDY ELIZER SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
THIENDY ELIZER (SOLE MBR)
(347) 681-5652
Entity
Organization
Contact information
Practice address
8301 AVENUE K, BROOKLYN, NY 11236-4233
(347) 681-5652
(718) 504-6161
Mailing address
8301 AVENUE K, BROOKLYN, NY 11236-4233
(347) 681-5652
(718) 504-6161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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