Organization
ARDENT MEDICAL SUPPLY
Active
Organization
ARDENT MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA RUIZ (OWNER)
(718) 971-4228
Entity
Organization
Contact information
Practice address
72 TROY AVE, STORE, BROOKLYN, NY 11213-1111
(929) 400-7138
(347) 548-3052
Mailing address
72 TROY AVE, STORE, BROOKLYN, NY 11213-1111
(929) 400-7138
(347) 548-3052
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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