Organization
INTEGRA PATRNERS MEDICAL SUPPLY
Active
Parent organization
PANGEA GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANGEA GROUP LLC
Authorized official
PUCCINI INOKON (MANAGING PARTNER)
(718) 355-9660
Entity
Organization
Contact information
Practice address
851 DEKALB AVE, BROOKLYN, NY 11221-3471
(718) 355-9660
(718) 355-9661
Mailing address
851 DEKALB AVE, BROOKLYN, NY 11221-3471
(718) 355-9660
(718) 355-9661
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
04/07/2012
Last updated
06/29/2012
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