Organization
ULTRA MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMCHA HYMAN (OWNER)
(718) 796-7555
Entity
Organization
Contact information
Practice address
23A WALKER WAY, ALBANY, NY 12205-4945
(718) 796-7555
(718) 305-7224
Mailing address
1685 E 21ST ST, BROOKLYN, NY 11210-5065
(718) 796-7555
(718) 305-7224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1466586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01799059
—
NY
Enumeration date
02/14/2014
Last updated
02/14/2014
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