Organization
ELIOT AVE MED SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMION AMINOV (PRESIDENT)
(718) 787-5577
Entity
Organization
Contact information
Practice address
8214 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1437
(718) 787-5577
Mailing address
8214 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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