Organization
NEW SOUL MED SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAINA AUGUSTIN (OWNER)
(509) 899-7369
Entity
Organization
Contact information
Practice address
5 W 37TH ST STE 614, NEW YORK, NY 10018-6222
(516) 646-0366
Mailing address
5 W 37TH ST STE 614, NEW YORK, NY 10018-6222
(516) 646-0366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
12/16/2024
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