Organization
NORTHSTAR SUPPLY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THARUN P BETHIREDDY (PRESIDENT)
(315) 450-7503
Entity
Organization
Contact information
Practice address
2319 E GENESEE ST APT 2, SYRACUSE, NY 13210-2221
(315) 450-7503
Mailing address
2319 E GENESEE ST APT 2, SYRACUSE, NY 13210-2221
(315) 450-7503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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