Organization
STAYWELL MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAROLINE EZEOGU (CEO)
(718) 415-0311
Entity
Organization
Contact information
Practice address
18836 JAMAICA AVE, JAMAICA, NY 11423-2512
(718) 740-0200
(718) 740-0202
Mailing address
18836 JAMAICA AVE, HOLLIS, NY 11423-2512
(718) 740-0200
(718) 740-0202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1463747
NY
Other
Enumeration date
03/22/2013
Last updated
03/20/2014
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