Organization
OPTIMUM MED EQUIPMENT SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE MONTICK (AUTHORIZED OFFICIAL)
(516) 802-3738
Entity
Organization
Contact information
Practice address
10 LUDLAM AVE, BAYVILLE, NY 11709-3202
(516) 802-3738
Mailing address
10 LUDLAM AVE, BAYVILLE, NY 11709-3202
(516) 802-3738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
08/24/2016
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