Organization
PRC SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CULLINANE (OWNER)
(917) 450-4527
Entity
Organization
Contact information
Practice address
680 BROADWAY STE 205, PATERSON, NJ 07514-1527
(917) 450-4527
Mailing address
11 FOREST AVE, PORT JEFFERSON STATION, NY 11776-1803
(917) 450-4527
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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