Organization
LIFE QUALITY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEDZANUN GULKAROV (VICE-PRESIDENT)
(718) 208-7979
Entity
Organization
Contact information
Practice address
205 AVENUE T, BROOKLYN, NY 11223-3707
(718) 975-3900
(212) 922-9044
Mailing address
205 AVENUE T, BROOKLYN, NY 11223-3707
(718) 975-3900
(212) 922-9044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
07/07/2021
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