Organization
ULTRA MEDICAL TECHNOLOGIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAHAD SHAH I (CEO)
(516) 647-7053
Entity
Organization
Contact information
Practice address
271 N DELAWARE AVE, MASSAPEQUA, NY 11758-1830
(516) 647-7053
Mailing address
271 N DELAWARE AVE, MASSAPEQUA, NY 11758-1830
(516) 647-7053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
04/04/2017
Last updated
07/21/2022
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