Organization
PACE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN ANTHONY STEWART (MANAGING DIRECTOR)
(347) 857-5534
Entity
Organization
Contact information
Practice address
2246 VANDERVEER PL, BROOKLYN, NY 11226-7002
(718) 484-8315
(718) 484-8316
Mailing address
2246 VANDERVEER PLACE, BROOKLYN, NY 11226
(347) 857-5534
(718) 484-8316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
787408
NY
Other
Enumeration date
07/06/2011
Last updated
02/06/2013
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