Organization
TRIUMPH MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIJAH TOLU OMOLADE (MANAGING PARTNER)
(917) 478-4451
Entity
Organization
Contact information
Practice address
1506 CASTLE HILL AVE, BRONX, NY 10462-4210
(347) 810-6787
(347) 810-6786
Mailing address
317 CASTLE HILL AVE, BRONX, NY 10473-1642
(917) 478-4451
(347) 851-4454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
02/17/2011
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