Organization
EXPRESS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS SMITH (OWNER)
(718) 464-9740
Entity
Organization
Contact information
Practice address
9490 218TH ST, QUEENS VILLAGE, NY 11428-2139
(718) 464-9740
(718) 464-9741
Mailing address
9490 218TH ST, QUEENS VILLAGE, NY 11428-2139
(718) 464-9740
(718) 464-9741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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