Organization
DME ORTHOSUPPLYSTORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUDELL HAYES (EXECUTIVE)
(718) 369-8000
Entity
Organization
Contact information
Practice address
4913 13TH AVE., BROOKLYN, NY 11219
(718) 431-8702
(888) 281-0459
Mailing address
4913 13TH AVE., BROOKLYN, NY 11219
(718) 431-8702
(888) 281-0459
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
06/16/2011
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