Organization
BLUE STAR MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA BLUMENTAL (OWNER)
(323) 573-1823
Entity
Organization
Contact information
Practice address
41A W MERRICK RD STE A3, VALLEY STREAM, NY 11580-5708
(718) 878-5908
(718) 715-0773
Mailing address
41A W MERRICK RD STE A3, VALLEY STREAM, NY 11580-5708
(718) 878-5908
(718) 715-0773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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