Organization
VITALONYX MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTAGRACIA DE JESUS (OWNER)
(347) 213-6894
Entity
Organization
Contact information
Practice address
733 YONKERS AVE STE 106, YONKERS, NY 10704-2659
(201) 641-2125
(212) 888-6024
Mailing address
733 YONKERS AVE STE 106, YONKERS, NY 10704-2659
(201) 641-2125
(212) 888-6024
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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