Organization
PS ROCK HOLDINGS LLC
Active
Other names
101 Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK O DOUGLAS (OWNER)
(631) 796-1991
Entity
Organization
Contact information
Practice address
738 ROUTE 9 UNIT B9, FISHKILL, NY 12524-3800
(631) 796-1991
Mailing address
738 ROUTE 9 UNIT B9, FISHKILL, NY 12524-3800
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/31/2025
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