Organization
WELLNESS MEDICAL SUPPLY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS MATEO (PRESIDENT)
(646) 296-1434
Entity
Organization
Contact information
Practice address
894 FAIRMOUNT PL APT 2, BRONX, NY 10460-4284
(646) 632-2070
Mailing address
894 FAIRMOUNT PL APT 2, BRONX, NY 10460-4284
(646) 632-2070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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