Organization
SUNRISE MEDICAL SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIYA YUSUPOVA (OWNER)
(917) 763-9518
Entity
Organization
Contact information
Practice address
714 KINGS HWY, BROOKLYN, NY 11223-2238
(917) 763-9518
Mailing address
714 KINGS HWY, BROOKLYN, NY 11223-2238
(917) 763-9518
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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