Organization
ALL SOUTH SHORE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS O EGWABOR (MANAGER)
(516) 984-7845
Entity
Organization
Contact information
Practice address
586 MERRICK RD, BALDWIN, NY 11510-3501
(516) 543-5690
(516) 543-5691
Mailing address
586 MERRICK RD, BALDWIN, NY 11510-3501
(516) 543-5690
(516) 543-5691
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
07/26/2011
Last updated
04/18/2017
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