Organization
JAZEE BRAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA RAISHEVICH DMEMASTECTOMY FITTER (OWNER)
(718) 336-0783
Entity
Organization
Contact information
Practice address
937 KINGS HWY, BROOKLYN, NY 11223-2336
(718) 336-0783
(718) 336-7203
Mailing address
937 KINGS HWY, BROOKLYN, NY 11223-2336
(718) 336-0783
(718) 336-7203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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