Organization
LANDMARK MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN JEFFCOAT RRT (PRESIDENT)
(718) 338-7750
Entity
Organization
Contact information
Practice address
3311 AVENUE N, BROOKLYN, NY 11234
(718) 338-7750
(718) 338-6158
Mailing address
3311 AVENUE N, BROOKLYN, NY 11234-2605
(718) 338-7750
(718) 338-6158
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02572952
—
NY
Enumeration date
10/31/2006
Last updated
05/05/2008
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