Organization
INTERFAITH MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBENGA OBAWEYA (OFFICER)
(718) 484-2124
Entity
Organization
Contact information
Practice address
1042 BROADWAY, BROOKLYN, NY 11221-1249
(718) 484-2124
(718) 484-2128
Mailing address
1042 BROADWAY, BROOKLYN, NY 11221-1249
(718) 484-2124
(718) 484-2128
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
11/21/2014
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