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Organization

MAX MEDICAL SUPPLY

Active
Other names
MAX MEDICAL SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
MISS OLGA KUSHMAKOVA (PRESIDENT)
(718) 779-1635
Entity
Organization

Contact information

Practice address
75-28 37 AVE., JACKSON HEIGHTS, NY 11372
(718) 779-1635
(718) 779-1784
Mailing address
7528 37TH AVE, JACKSON HEIGHTS, NY 11372-6538
(718) 779-1635
(718) 779-1784

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NY

Other

Enumeration date
06/18/2006
Last updated
07/21/2022
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