Organization
18TH AVE CARE LLC
Active
Other names
Medical Aid Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES BRULL (OWNER)
(347) 489-8934
Entity
Organization
Contact information
Practice address
5906 18TH AVE, BROOKLYN, NY 11204-2201
(718) 682-3606
Mailing address
5906 18TH AVE, BROOKLYN, NY 11204-2201
(718) 682-3606
(646) 849-4359
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06110205
—
NY
Enumeration date
04/03/2019
Last updated
08/23/2023
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