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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