Organization
QLY SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRAKLI KADARIA (PRESIDENT)
(212) 767-9045
Entity
Organization
Contact information
Practice address
6915 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2151
(718) 502-6312
Mailing address
6915 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2151
(718) 502-6312
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
06/09/2021
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