Organization
MOM AND DAD ORTHOPEDICS SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES BUCARETZKY CPO (PRESEDENT)
(347) 570-0510
Entity
Organization
Contact information
Practice address
91 4TH AVE, FIRST FLOOR, BROOKLYN, NY 11217-2783
(347) 570-0510
(914) 205-5280
Mailing address
91 4TH AVE, FIRST FLOOR, BROOKLYN, NY 11217-2783
(347) 570-0510
(914) 205-5280
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CFOM0510
DE
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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