Organization
QUALITY CARE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVANS O. ALAWURU (PRESIDENT)
(917) 701-5143
Entity
Organization
Contact information
Practice address
11551 237TH ST, ELMONT, NY 11003-3924
(191) 770-1514
(516) 612-2542
Mailing address
11551 237TH ST, ELMONT, NY 11003-3924
(191) 770-1514
(516) 612-2542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1420716
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
1420716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1420716
NEW YORK CITY
NY
Enumeration date
04/20/2009
Last updated
04/20/2009
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