Organization
NEW FREEDOM MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER R EKSTROM (OWNER)
(631) 821-6574
Entity
Organization
Contact information
Practice address
11 VIOLET RD, ROCKY POINT, NY 11778-8736
(631) 821-6574
Mailing address
11 VIOLET RD, ROCKY POINT, NY 11778-8736
(631) 821-6574
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2011
Last updated
01/22/2011
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